Individual
MRS. LAUREN NICOLE DOTTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8100 ASHTON AVE STE 200, MANASSAS, VA 20109-5688
(877) 415-4116
(571) 358-3941
Mailing address
8100 ASHTON AVE STE 200, MANASSAS, VA 20109-5688
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001275757
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024182167
VA
Other
Enumeration date
06/08/2021
Last updated
11/08/2021
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